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Ananda Niketan Model School
Run by Excel Educational Trust | Reg. No.- IV-190202101/24
Kheurhati • Khandaghosh • Purba Bardhaman
ADMISSION FORM
Student Details
Full Name of Student (In Capital Letters)
Date of Birth
Gender
Select
Male
Female
Other
Aadhar No.
Blood Group
Mother Tongue
Nationality
Religion
Caste / Sub-Caste
Class to which Admission is Sought
Physical Disability (if any)
Parent / Guardian Details
Father's Name
Father's Qualification
Father's Occupation
Mother's Name
Mother's Qualification
Mother's Occupation
Mobile No.
Annual Family Income
Present Address
Para / Locality
Village
P.O.
P.S.
District
State
PIN
Permanent Address
Same as Present Address
Para / Locality
Village
P.O.
P.S.
District
State
PIN
Bank Details (If Available)
Account No.
Name of Bank
Branch
IFSC Code
Required Documents (Check when ready):
Student's Birth Certificate & Aadhar Card (Xerox)
5 Copies photo for student
Father's & Mother's Aadhar/Voter Card (Xerox)
School Leaving Certificate (if applicable)
Submit Admission Request